Active NPI
Douglas A Bitter, MD
- Plastic Surgery Physician
- Roseburg, OR
National Provider Identifier
1568448959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD16080
- Practice address
- 171 Medical Loop
Suite 160
Roseburg, OR 97471-8822 - Phone
- (541) 673-1016
- Fax
- (541) 673-0472
- NPI assigned
- Dec 19, 2005
- Last updated
- Jun 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD16080 | OR | Primary |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | MD16080 | OR |
Addresses
Primary practice location
171 Medical Loop
Suite 160
Roseburg, OR 97471-8822
Mailing address
171 NW Medical Loop
Suite 160
Roseburg, OR 97471-8822
Phone (541) 673-1016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095786 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16080 | OR | MD | Surgery of the Hand (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roseburg Clinic, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Plastic Surgery and Hand Center
- Plastic Surgery Physician
- Roseburg, OR
- NPI 1245482967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1568448959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 NW MEDICAL LOOP",
"address_2": "SUITE 160",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974718822",
"telephone_number": "541-673-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 MEDICAL LOOP",
"address_2": "SUITE 160",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974718822",
"telephone_number": "541-673-1016",
"fax_number": "541-673-0472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BITTER",
"first_name": "DOUGLAS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "OR",
"license": "MD16080",
"primary": true
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "OR",
"license": "MD16080",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "095786",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.